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NCJRS Abstract

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NCJ Number: 121045 Add to Shopping cart Find in a Library
Title: Special Fraud Alert: Joint Venture Arrangements
Author(s): R P Kusserow
Corporate Author: US Dept of Health and Human Services
Office of Inspector General
United States of America
Date Published: 1989
Page Count: 54
Sponsoring Agency: US Dept of Health and Human Services
Washington, DC 20201
Publication Number: OIG-89-04
Type: Report (Technical Assistance)
Format: Document
Language: English
Country: United States of America
Annotation: Some of the joint ventures involving physicians and those providing items or services supported by Medicare or Medicaid may violate the Medicare and Medicaid anti-kickback statute.
Abstract: The law penalizes anyone who knowingly and willfully solicits, receives, offers, or pays anything of value to induce referrals or to pay for them. Identifying suspect joint ventures requires attention to three areas: 1) the manner in which investors are chosen and retained, 2) the nature of the business structure of the joint venture, and 3) the financing and profit distributions. Anyone with information on the existence of a suspect joint venture should call the Inspector General hotline or any of the regional offices of the Inspector General.
Main Term(s): Medicaid/Medicare fraud
Index Term(s): Crime detection; Fraud investigations
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